Journal of Neuroendovascular Therapy
Online ISSN : 2186-2494
Print ISSN : 1882-4072
Case Reports
A Patient with Severe Cerebral Sinus Thrombosis in Whom Mechanical Thrombolysis with a Balloon and Thrombectomy with a Stent Retriever Were Effective
Issei TakanoYoshiyuki MatsumotoYoshiko FujiiYuki InoueYoshiki SugiuraKoji HirataYousuke KawamuraRyotaro SuzukiRyuta NakaeYoshihiro TanakaMasaya NagaishiTomoji TakigawaAkio HyodoKensuke Suzuki
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2018 年 12 巻 9 号 p. 450-455

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Objective: We report a patient with severe cerebral sinus thrombosis (CST) in whom mechanical thrombolysis with a balloon and thrombectomy with a stent retriever were effective.

Case Presentation: The patient was a 32-year-old male. Headache occurred, and magnetic resonance venography (MRV) showed occlusion of the superior sagittal sinus. Transvenous anticoagulant therapy was performed, but consciousness disorder and paralysis progressed in a few days. Head CT revealed marked edema of the bilateral frontal lobes and cerebral hemorrhage. Cerebral angiography showed occlusion of the superior sagittal sinus, and endovascular treatment with a balloon and stent retriever was performed, leading to recanalization. Finally, the course was favorable.

Conclusion: Endovascular treatment with a stent retriever may be safe and effective for severe CST.

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